Ribault L, Gournier J P
Services chirurgicaux C.H.R., Côte d'Ivoire.
J Chir (Paris). 1988 Dec;125(12):730-2.
The authors described their African experience on the basis of ten cases of total rectal prolapse in the young adult and child. Total rectal prolapse and internal procidentia fall within the general context of disorders of rectal mechanics. In most instances, such forced prolapse occurs in young individuals who are usually muscular and used to difficult work. Nevertheless, defecation efforts in these chronically constipated patients play a significant role. Furthermore, there is frequently a concomitant presence of a megadolichosigmoid colon. In all cases treatment was surgical, involving rectopexy at the promontory using strips of fascia lata or even peritoneum. The post-operative course was in all cases uneventful with no recurrences and the routine prescription of adjuvant treatment for constipation.
作者基于10例青壮年和儿童完全直肠脱垂病例描述了他们在非洲的经验。完全直肠脱垂和直肠内脱垂属于直肠力学紊乱的总体范畴。在大多数情况下，这种强迫性脱垂发生在通常肌肉发达且习惯从事艰苦工作的年轻人身上。然而，这些慢性便秘患者的排便用力起着重要作用。此外，常常伴有乙状结肠冗长。所有病例均采用手术治疗，在岬部使用阔筋膜条甚至腹膜进行直肠固定术。所有病例术后病程平稳，无复发，且常规给予便秘辅助治疗。
